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    NCP Hyperthermia

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    DhonabelleVanessaFetalinoAdona
    The document provides a nursing care plan for a 48-year old female patient named Glenda Castaneda who was admitted to the hospital for hyperglycemia, dehydration, and hyperthermia related to uncontrolled diabetes. She presented with vomiting, weakness, and had urinated and vomited at home prior to admission. Her blood glucose level upon admission was 206 mg/dL. The plan involves monitoring her temperature and vital signs, providing cooling interventions, encouraging fluid intake and rest to manage her hyperthermia and complications from her hyperglycemic condition.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    NCP Hyperthermia

    Uploaded by

    DhonabelleVanessaFetalinoAdona
    338 views3 pages
    The document provides a nursing care plan for a 48-year old female patient named Glenda Castaneda who was admitted to the hospital for hyperglycemia, dehydration, and hyperthermia related to uncontrolled diabetes. She presented with vomiting, weakness, and had urinated and vomited at home prior to admission. Her blood glucose level upon admission was 206 mg/dL. The plan involves monitoring her temperature and vital signs, providing cooling interventions, encouraging fluid intake and rest to manage her hyperthermia and complications from her hyperglycemic condition.

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    The document provides a nursing care plan for a 48-year old female patient named Glenda Castaneda who was admitted to the hospital for hyperglycemia, dehydration, and hyperthermia related to uncontrolled diabetes. She presented with vomiting, weakness, and had urinated and vomited at home prior to admission. Her blood glucose level upon admission was 206 mg/dL. The plan involves monitoring her temperature and vital signs, providing cooling interventions, encouraging fluid intake and rest to manage her hyperthermia and complications from her hyperglycemic condition.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    338 views3 pages

    NCP Hyperthermia

    Uploaded by

    DhonabelleVanessaFetalinoAdona
    The document provides a nursing care plan for a 48-year old female patient named Glenda Castaneda who was admitted to the hospital for hyperglycemia, dehydration, and hyperthermia related to uncontrolled diabetes. She presented with vomiting, weakness, and had urinated and vomited at home prior to admission. Her blood glucose level upon admission was 206 mg/dL. The plan involves monitoring her temperature and vital signs, providing cooling interventions, encouraging fluid intake and rest to manage her hyperthermia and complications from her hyperglycemic condition.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 3

    Palawan State University

    COLLEGE OF NURSING AND HEALTH SCIENCES


    Puerto Princesa City

    NURING CARE PLAN


    Name: Castaneda, Glenda A.
    Age: 48 years old
    Civil Status: Married
    Address: Dagohoy, Narra, Palawan
    Chief Complaint: + vomiting, weakness
    Medical Diagnosis: Hyperosmolar, Hyperglycemia, DM2 uncontrolled

    DOA: October 9, 2015


    Ward: Female Medical Ward
    Diet: Diabetic Diet
    CI: Ma. Zendria Catacutan,RN,MSN
    Attending Physician: Dr. Densen/ Dr. Acharon

    Present Illness:
    According to the patients husband, two hours prior to admission, around 2:00am, he arrived at home and when he was about to enter their room on the first
    floor of their two story house, he heard his wife moaning and he saw Glenda on floor at sitting position and had already vomited and urinated. He asked Glenda of
    what happened but she cannot speak clearly, she cannot even stand alone. He called his daughter on the second floor to ask for help. They just thought that Glenda
    had hypoglycemic attack without checking her blood glucose level and so they had Glenda drank a half cup of Milo with two table spoons of sugar as an emergency
    management. Then, they borrowed a tricycle from their neighbor and went to Ospital ng Palawan for medical help. They arrived at Ospital ng Palawan emergency
    room around 4:00 am. A blood test was done and so they found out that the patient didnt experienced hypoglycemia but a hyperglycemia with a blood glucose level
    of 206 mg/dL. Then, she was admitted in the female medical ward.
    Past Health History:
    The patient had experienced childhood illnesses such as chicken pox and measles. She also experienced cough, common colds and fever and she would take
    over-the-counter drugs for his therapeutic regimen. They have heredofamilial disease such as diabetes, her mother also had diabetes and she herself was diagnosed
    with diabetes last 2004. She was taking insulin therapy before but she was fed up and stopped the therapy about several months ago. This was her second
    hospitalization, her first was last 2013 when she had hypoglycemic attack with her blood glucose level of 25 mg/dL and she was admitted at Cooperative Hospital.
    She had no known food and drug allergies.

    NURSING CARE PLAN


    ASSESSMENT
    Subjective cues:
    Nakita ko sya sa
    sahig kaninang
    madaling-araw,
    nakaihi na at sumuka.
    Objective cues:
    Diaphoresis
    Skin warm to
    touch
    Dry skin
    Drowsy
    Weakness
    Polyuria
    Elevated
    temperature38.1C
    Hyperventilation
    Increased
    respiratory rate30 cpm
    BP: 140/100
    Contraptions:
    PNSS 1L x 8h @
    350cc 42 gtt/min

    DIAGNOSIS

    RATIONALE

    PLAN

    INTERVENTION

    Hyperthermia r/t
    dehydration 2
    hyperglycemic
    hyperosmolar
    nonketotic syndrome

    Vomiting and polyuria

    STG:
    At the end of 2 hours
    nursing intervention,
    patient will be able to
    maintain body
    temperature within
    normal range between
    36.5-37.5C

    Independent:
    1. Monitor axillary
    temperature every
    15 minutes, until
    stable, then every
    1-2 hours.
    2. Monitor hear rate
    and rhythm.

    Excessive loss of body


    fluids

    Alteration in
    maintaining normal
    boy temperature

    Increased body
    temperature

    Hyperthermia

    LTG:
    At the end of 8 hours
    nursing intervention,
    patient will be free of
    complications such as
    seizure activity.
    3. Promote surface
    cooling by means
    of changing lighter
    clothes, fan, TSB.
    4. Encouraged fluid
    intake and
    regulated and
    monitored IV
    fluid.
    5. Encouraged to
    take adequate rest

    RATIONALE

    1. Monitors
    effectiveness of
    treatment.
    2. Dysrhythmias are
    common due to
    electrolyte
    imbalance,
    dehydration, and
    direct effects of
    hyperthermia to
    blood and cardiac
    tissues.
    3. Promote heat loss
    by radiation,
    conduction
    convection and
    evaporation.
    4. To support
    circulating volume
    and tissue
    perfusion.

    5. To reduce

    EVALUATION

    Body temp-37.0C
    RR- 24 cpm
    BP- 130/100
    -no complications

    period.
    Dependent:
    6. Administered
    paracetamol as
    prescribed by the
    physician.

    Submitted by: Dhonabelle Vanessa F. Adona

    metabolic
    demands/oxygen
    consumption.
    6. Aids in reducing
    fever.

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